EMERGENCY PRE-OP FOR NURSING STUDENTS

1. EMERGENCY PRE-OPERATIVE CARE
SUMMARY
MR SANDWE T.K
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2. OUTLINE
• The emergency pre-operative care should be outlined as follows
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3. INTRODUCTION
• Introduce your type of pre-op .e.g
• This is an emergency condition therefore I will write the
emergency pre-operative
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4. AIMS
• Mostly the aims of the emergency pre-op includes,
• To resuscitate the patient
• To relief pain
• To prepare the patient physiologically and psychologically for
surgery
• To prevent post-operative complications
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5. BRIEF HISTORY
• There being no time, collect history only relevant to resuscitate
the patient. i.e
• There being no time, I will collect history relevant to resuscitate
the patient.
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6. ASSESSMENT/ RESUSCITATION
• Write about the following headings
• AIRWAY: I will check patency and positioning of the patient
• BREATING: check respirations, oxygen saturation
• CIRCULATION: pulse and blood pressure
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7. PAIN RELIEF
• Position to relieve pain
• Give analgesics to relief pain
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8. PSYCHOLOGICAL CARE
• Explain the condition to the patient or relatives to gain co-
operation
• Complications of the procedure to create awareness of the
outcomes
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9. CONSENT FORM SIGNING
• Ensure consent is signed indicating that the patient has agreed to
undergo the procedure.
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10. OBSERVATIONS
• General condition of the patient
• Patency of tubes and cannulas.
• E.t.c
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11. INVESTIGATIONS
• Grouping and x-matching
• Hb r/o anaemia
• RBS r/o hypoglycaemia
• Chest/ abdominal x-ray to asses status of the abdomen.
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12. ASSESSMENT OF BODY SYSTEMS
• Cardiovascular system
• Respiratory system
• Renal system
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13. PHYSICAL PREPARATION
• Gastric preparation
• Bowel preparation
• Bladder preparation
• Skin preparation
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14. PRE-MEDICATION
• Atropine 0.6mg to reduce excess secretions
• Ceftriaxon 2g to prevent post-op infections
• Promethazine 12.5mg to prevent nausea and vomiting
• Diazepam 15mg to relax the muscles
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15. REMOVAL OF JEWERY AND PROSTHESES
• To prevent electrical shock and accidental swallowing.
• To prevent infections from jewelleries and prostheses
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16. IDENTIFICATION AND GOWNING
• A band with name, age and procedure of the patient for easy
identification
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17. TRANSFER OF THE PATIENT
• Last vital signs as baseline data
• All investigation results and all patient files to be carried along
• Hand over to the theatre nurse
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18. PREPARATION OF POST-OPERATIVE BED
• Come back to prepare the post op-bed in anticipation of the
patient’s return
• Bed in acute bay for easy observation
• All emergency equipment's in case the patient’s condition changes
following surgery
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